Individual provider Active NPI

Barry Dale McNinch, MS COUNSELING

  • Counselor
  • Fairfax, VA
National Provider Identifier
1528634631
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0704013860 Issued in VA
Practice address
10513 Judicial Dr Ste 201
Fairfax, VA 22030-7528
Phone
(703) 936-8066
NPI assigned
May 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X 0704013860 VA Primary

Addresses

Primary practice location

10513 Judicial Dr Ste 201
Fairfax, VA 22030-7528

Mailing address

10513 Judicial Dr Ste 201
Fairfax, VA 22030-7528
Phone (703) 936-8066

Other identifiers 1

IdentifierTypeStateIssuer
0704013860OtherVAVA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barry@NVCounseling.Services Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0704013860VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Counseling Services Inc. Counselor CurrentSince Jun 6, 2021 Accepting new patients

Locations

10513 Judicial Dr
Ste 201
Fairfax, VA 22030
Phone (703) 405-9014

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1528634631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10513 JUDICIAL DR STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307528",
            "telephone_number": "703-936-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 JUDICIAL DR STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307528",
            "telephone_number": "703-936-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNINCH",
        "first_name": "BARRY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MS COUNSELING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704013860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0704013860",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barry@NVCounseling.Services",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10513 Judicial Dr Ste 201",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220307528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.